[article] Evaluation of the first round of the national breast cancer screening programme in Flanders, Belgium. [printed text] / Kristel De Gauquier  , Author ; A. Remacle, Author ; Valérie Fabri ; Raf Mertens . - 2006 . - 71-80. Languages : English in Archives of Public Health > 64(2006)2-3 [03/01/2006] . - 71-80 | Descriptors: | Classification
WP 870 - Breast - - Neoplasms
Indexation
Belgium ; Breast Neoplasms ; Journal Article ; Mammography ; Mass Screening ; Program Evaluation
| | Abstract: | Introduction: In June 2001, a breast cancer screening programme was started in Flanders for all women aged 50-69 years. Until that date, screening was opportunistic and devoid of quality control. In this paper, the evolution during the first two-year round is compared with the situation before the programme.
Methods: The study population comprised all women aged 50-69 years living in Flanders in the period 2000-2003. The data source was the reimbursement claims database of all social insured of the country, for mammograms, breast ultrasounds and magnetic resonance imaging.
Results: In the 2002-2003 period, the participation rate by screening mammography was 32.7%. When adding the participation to the still existing opportunistic screening (21.7%), the percentage of women who underwent a mammography amounts to 54.3% of the study population, as compared to 40.5% in the preceding two years. The programme has also reduced inequities between age groups and socio-economic categories:
almost all women participate in an equal manner. In 2003, as
many as 77.3% of the diagnostic mammograms and 6.3% of the screening mammograms were followed within 90 days by additional imaging.
Conclusion: This organised screening programme already reached
a substantial proportion of the target group during its launch period. It also managed to attract women of all ages and of all socio-economic backgrounds. Yet, there remains a long way to go before reaching at least 70% of the target population. The other big challenge is to convince physicians to replace the diagnostic mammography and the ultrasound by the quality-controlled screening mammography. | | Link for e-copy: | http://www.iph.fgov.be/aph/pdf/aphfull64_71_80.pdf | | Format of e-copy: | VDIC IP recognition | | Record link: | http://kce.docressources.info/index.php?lvl=notice_display&id=1189 |
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